Endometrial Thickening - Gynecology

What is Endometrial Thickening?

Endometrial thickening refers to an increase in the thickness of the endometrium, the inner lining of the uterus. This condition can be detected during a pelvic ultrasound or other imaging studies.

Causes of Endometrial Thickening

There are several potential causes, including hormonal imbalances, Polycystic Ovary Syndrome (PCOS), and the use of estrogen replacement therapy. Endometrial thickening can also be associated with conditions such as endometrial hyperplasia and endometrial cancer.

Symptoms

Common symptoms include abnormal uterine bleeding, such as heavy periods, bleeding between periods, or postmenopausal bleeding. Some women may experience pelvic pain or discomfort.

Diagnosis

Diagnosis typically involves a combination of pelvic ultrasound, endometrial biopsy, and possibly a hysteroscopy. These procedures help to determine the cause of thickening and to rule out malignancy.

Treatment Options

Treatment depends on the underlying cause. Hormonal therapies, such as progesterone or oral contraceptives, are often used to regulate menstrual cycles and reduce endometrial thickness. In more severe cases, surgical options like dilation and curettage (D&C) or endometrial ablation may be considered.

Prevention

Maintaining a healthy weight, managing conditions like PCOS, and using hormone replacement therapy under medical supervision can help reduce the risk of endometrial thickening. Regular gynecological check-ups are also crucial for early detection and management.

Complications

If left untreated, endometrial thickening can lead to more serious conditions like endometrial hyperplasia or even endometrial cancer. It is essential to seek medical advice if you experience any symptoms of abnormal uterine bleeding.

When to See a Doctor

If you notice any symptoms of abnormal uterine bleeding or have concerns about your menstrual health, it is important to consult a gynecologist. Early diagnosis and treatment can help manage the condition effectively and prevent complications.



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